NDC codes

FDA NDC Directory
Product NDC (as listed)0406-1236Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00406-1236Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0406-1236-010040612360100406123601100 TABLET in 1 BOTTLE (0406-1236-01)Marketed from Oct 30, 2020
0406-1236-1000406123610004061236101000 TABLET in 1 BOTTLE (0406-1236-10)Marketed from Oct 30, 2020

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Generic name (nonproprietary)
diphenoxylate hydrochloride and atropine sulfate
Active ingredients
Diphenoxylate hydrochloride — 2.5 mg/1Atropine sulfate — .025 mg/1
Dosage form
Tablet
Route
Oral
Labeler
SpecGx LLCNDC labeler code 0406
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 213335
Marketing start
Listing expires
DEA schedule
CV
Other FDA classes
Cholinergic Antagonists (Mechanism)Cholinergic Muscarinic Antagonists (Mechanism)
Identifiers
Product ID 0406-1236_c7a8d21f-365e-4a00-a7bf-4ee5fc6c2406SPL ID c7a8d21f-365e-4a00-a7bf-4ee5fc6c2406SPL set ID 24915aa0-1600-44bb-99fc-46529a794124RxCUI 1190572UNII W24OD7YW48, 03J5ZE7KA5UPC 0304061236102
Pharmacologic class
Anticholinergic; Antidiarrheal; Cholinergic Muscarinic Antagonist

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400406123601 followed by a unit qualifier and the quantity

Package 00406-1236-01. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

INDICATIONS AND USAGE Diphenoxylate hydrochloride and atropine sulfate tablets are indicated as adjunctive therapy in the management of diarrhea in patients 13 years of age and older.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0406-1236

What is NDC 0406-1236?
0406-1236 is the product NDC for Diphenoxylate Hydrochloride and Atropine Sulfate, Diphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1 tablet, listed with the FDA by SpecGx LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Diphenoxylate Hydrochloride and Atropine Sulfate.
What is the active ingredient?
Diphenoxylate hydrochloride, Atropine sulfate.
Who is the labeler?
SpecGx LLC, NDC labeler code 0406. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Diphenoxylate Hydrochloride and Atropine Sulfate?
26 other product NDCs are listed under this name. See all Diphenoxylate Hydrochloride and Atropine Sulfate NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Diphenoxylate Hydrochloride and Atropine Sulfate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralAmerican Health Packaging60687-89060687-0890-01
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralREMEDYREPACK INC.70518-391570518-3915-01
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralWinder Laboratories LLC75826-10775826-0107-0075826-0107-0375826-0107-11+2 more
Diphenoxylate Hydrochloride And Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralDirect Rx72189-33672189-0336-1072189-0336-30
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-809068788-8090-02
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-71471610-0714-3071610-0714-5371610-0714-60+3 more
Diphenoxylate hydrochloride and atropine sulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralChartwell RX, LLC62135-61862135-0618-12
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralRedpharm Drug67296-224067296-2240-05
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralRedpharm Drug Inc.67296-148567296-1485-09
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-37572789-0375-25

All 27 Diphenoxylate Hydrochloride and Atropine Sulfate NDCs

Other NDCs under ANDA 213335

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 213335
ProductStrengthForm · routeLabelerProduct NDC
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralAmerican Health Packaging60687-890
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-714

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